Individual
MR. ACE STERLING ROXAS MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
141 AVENUE C SW, SUITE 150, WINTER HAVEN, FL 33880-3273
(863) 293-3700
(863) 292-0417
Mailing address
141 AVENUE C SW, SUITE 150, WINTER HAVEN, FL 33880-3273
(863) 293-3700
(863) 292-0417
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT5262
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y910G
BCBS
FL
01
—
Y910J
BCBS
FL
Enumeration date
03/05/2007
Last updated
07/08/2007
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